Organization Active NPI

Idaho Pain Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Eagle, ID
National Provider Identifier
1235046731
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
IDAHO PAIN ASSOCIATES PLLC
Practice address
100 Cottonwood CT # D150
Eagle, ID 83616-6576
Phone
(208) 917-2713
Fax
(208) 955-2029
NPI assigned
Aug 27, 2026
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Coleman, CRNANPI 1982841573
Title
Partner
Phone
(951) 264-2258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

100 Cottonwood CT # D150
Eagle, ID 83616-6576

Mailing address

100 Cottonwood CT # D150
Eagle, ID 83616-6576
Phone (208) 917-2713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1235046731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT # D150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166576",
            "telephone_number": "208-917-2713",
            "fax_number": "208-955-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT # D150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166576",
            "telephone_number": "208-917-2713",
            "fax_number": "208-955-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO PAIN ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-264-2258",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.